*1 Third Court of Appeals

RECEIVED RECEIPT FOR CHECK-OUT RECORD MAR 0 2 2015 (CLOSED CASES) This is to acknowledge that Ihave taken receipt ofthe following items ofthis record. Iir^dbtf^fi^m|fl^n/ully responsible for the care and custody of these items. These items will be returned no later than the-due BSnS Snown below. These items were received by me in good condition, properly bound and certified by the appropriate Clerk or Court Reporter if applicable. Cause Number: 03-12-00072-CV Retention Center No.: Name of Cause: Chris Tavior et al v Oakview Healthcare Residence Ltd Items Checked out: 1 volume of administrative record (1 black binder)

Dale Items are due: PERMANENT Date Items Cheeked Out: Requested By: Attorney: Melissatfti uarez Firm/Agency: Administrative Law Division Address: P.O. Box 12548 Phone Number: 5 12-475-3209 i *** **** * ** *** ** ******* ** ***** ** ** ** * ^ Approved By: Jeff Kyle *************************************************************^ Dates Items Returned: PERMANENT